HomeMy WebLinkAbout1129.02 Application & Docs ***IMPORTANT NOTE: THE OFFICE OF BUILDING AND CODE ENFORCEMEW
RECOGNIZES ANY ROOM/AREA DESIGNATED ON CONSTRUCTION PLANS AS A "BONUS
ROOM" TO BE AN UNOCCUPIABLE, UNFINISHED SPACE. IF AN AREA SO LABELED
IS TO BE A FINISHED SPACE, CONSTRUCTION PLANS MUST BE LABELED ACCORDINGLY.
IF IT IS DETERMINED THAT AN UNFINISHED "BONUS ROOM"AREA IS TO
BECOME A FINISHED AREA AFTER THE ISSUANCE OF THE PERMIT, THE PLANS
AND PERMIT RECORDS MUST BE UPDATED AT THE OFFICE OF BUILDING & CODE
ENFORCEMENT.***
I CERTIFY THAT ALL OF THE ABOVE LISTED INFORMATION IS SHOWN COMPLETELY AND ACCURATELY ON THE
ATTACHED PLOT OR SITE PLAN AS SUBMITTED WITH A BUILDING PERMIT APPLICATION TO THE CARMEL-CLAY
DEPARTMENT OF COMMUNITY SERVICES. I FURTHER CERTIFY THAT THE JOINING OF WATER SUPPLY PIPING
SHALL BE MADE WITH LEAD-FREE SOLDERS AND FLUXES. FAILURE TO COMPLY WILL RESULT IN A REPLACEMENT
OF THE SYSTEM. PLUMBING CODE P-509-5.
Under the penalties of perjury (Indiana Code 35-44-2-1), I hereby affirm under oath that all of the
information I have provided in the table below is true and accurate to the best of my knowledge and
belief, and that I have not knowingly or intentionally provided or omitted any information that would tend
to hide, obscure or otherwise mislead the bept. of Community Services regarding the truth of the
matters addressed therein.
BASEMENT 1st Floor 2nd Floor 3rd Floor Front Rear Total Sq. TOTAL
(Finished and Porch Porch or Ft. of
Unfinished) Sunroom Garages
NOTE: Additional plans and/or information may be required, if submitted plans are not of sufficient clarity or detail, to
indicate the nature and extent of the work proposed and to determine compliance with all applicable codes and
ordinances.
In addition to the above, the Building Inspector will be provided with any information relative to commitments
made in the zoning process for the property involved. This would include any Plan Commission and/or BZA
activity.
•
APPLICANT'S SIGNATURE: a fYIA 5a-tje"If-A-- PHONE: q 115 2-2 W
ADDRESS: _7bkt^ 100 fld Y 13 / � KI '-too-
Department of Community Services
One Civic Square, Carmel, IN 46032 (317) 571-2444
s:Permits/forms/Perminfo Rev Jan`02 Rev.Jan.'02
• BUILDING PERMIT INFORMATION
CARMEL-CLAY TOWNSHIP
Department of Community Services
If the information required (listed below) is insufficient, it will
extend the time it takes to get an approved building permit.
CARMEL ZONING ORDINANCE Z-289, SECTION 29.4.2(3): The Director, Department of Community Services (or staff)
shall approve or deny the improvement location permit (building permit) within five (5) working days of the receipt of the
written application form and accompanying materials. The improvement location permit (building permit) shall be issued
when the proposed structure, improvement or use and its location conform in all respects to this ordinance.
The following must be received by the Department of Community Services before any building or remodeling permit can
be reviewed or issued by staff:
1. ONE completed Improvement Location Permit(Building Permit) application.
2. TWO (2) complete sets of construction plans. Building elevations, foundation plan, floor plan and typical
wall section must be shown. All cross-sections must be properly detailed and labeled. At lease one
cross-section must show R-values of building materials to ensure compliance with the Indiana Energy
Codes. If minimum R-values are not met on cross-section an Energy Code Compliance Worksheet must
be completed. If manufactured trusses are used, a diagram must be included with building plans for all
trusses being used. Truss diagrams must be stamped with the seal of the registered architect or
engineer who is responsible for that design. Only Indiana registrations will be recognized. If a
commercial construction, plans must be stamped approved by the Indiana State Department of Fire
Prevention & Building Safety. Indicate total height of building on plans.
3. ONE copy of sewer permit (from City of Carmel Engineering Dept., Hamilton Western Utilities or Clay
Regional Sewer District whichever applies), or septic permit (Hamilton County Health Department).
4. ONE (1) copy of plot plan from subdivision development plan.
5. TWO (2) copies of a site plan or plot plan showing the following REQUIRED information (can be obtained
from the landowner or developer):
--Name and address of designer of plan with date
--Name and address of owner
--Lot number and subdivision or applicable general description
--Lot drawn to scale -- all dimensions
--Scale and north arrow
--Lot/Property lines
--Minimum front building setback line per approved development plan (include all front yard)
--All roads, alleys, rights-of-way, etc.
--All other utilities and drainage rights-of-way and easements
--Any applicable flood plain area (Elevation Certificate if necessary)
--Building pad elevation and lot corner elevations
--All accessory buildings -- existing or proposed
--All sidewalks and driveways
--Sewer and water lines, septic system (tanks &filed system) and well location
--Drainage flow arrows
--All drainage swales and subsurface facilities (retention/detention areas, etc.)
--Sump pump (sump pump pits) showing discharge locations
--Geothermal heat pump discharge locations
If land is not within a platted subdivision, a legal description is needed.
ALL CONSTRUCTION IS SUBJECT TO FIELD INSPECTION
Carmel/Clay r I `
\N
Township V Application for Permit No jA v�J 2
Hold#: mprovement Location Permit Date
Roll File
This permit is valid only if cons ction is started within 180 days of the date of issuance for residential construction;and for commercial projects,within one(1)
year of the date of issu a of the State Commercial Design Release. All construction must be completed(c/o issued)within 2 years of the issuance date.
NAME PHONE
F
BUILDER � l e Ful'C3 - II52� Z�
31
STREET� J f `� 'Cl) CITY 1.
/I I
(, 2�...- 5 31- Ai 1. 114l5 STATE ZIP�
TENANT NAME J (�OCT(If applicable) C 6 2002
//N NAME PHO ), FAX 1 2
OWNER `-l..Ite_X 1 Yl L2�- O I'� .L��-k�l.i 8 '1'�J35q
STREET CITY
(A co—
/2_ e 15 STATE ZIP
LOT SUBDIVISION SECTION
LOCATION I LD \-- Ct 13CIpfl (2LF_r\ 1
ADDRESS OF CONSTRUCTION
Y.
1'�qq� 1�eCArML ,. C(----
A. TYPE F CONSTRUCTION Do plannclude a orc F : E IMPROVEMENT er' ��1t v e
1. Single Family B Yes 0 No '� 9'0- New Structure CAM
M'
2. 0 Two Family 9 . 0 Addition: Porch Room (^ �' "
���
3. 0 Multi-Family Type of Foundati � ❑ Remodel 0 Commercial Tenant Space
4. 0 Commercial/Industrial 0 Crawlsymc` o 4. 0 Foundation Only
5. 0 OTHER lBase 4`, 5. 0 Demolition
(Specify) 0 Slab 4"R 6. 0 Accessory Building
B. SEWE Zw 7. 0 Garage Detached Attached
1. Epr Public (Name of system r c-i
2. 0 Private(County permit# ) '� 7 '•;Lot Split YES NO
C. WAT.�a(: c� / '.I4 Flood Zones• YES NO
1. Di Public (Name of system Cb1 f{� e I zo Sump Pump YES ' / NO
lb
2. 0 Private(County,permit# Manufactured Trusses YES ✓ NO
D. ZONING : 5-1 ' `^7' `'Plumbing Contractor MDp
E. ESTIMATED COST OF CONSTRUCTION R IRC Plumbing Code: III Pmber's
(Excluding Land Value) ` (C.i r L} Indiana Plumbing Code: Ld' License#:( ►Opp�j
I,the undersigned,agree that any construction,reconstruction,enlargement,relocation,or alteration of a structure,or any change in the use of land or structures
requested by this application will comply with,and conform to,all applicable laws of the State of Indiana,and the"Zoning Ordinance of Carmel Indiana-1993"
(Z-289)and amendments,adopted under authority of I.C.36-7 et seq,General Assembly of the State of Indiana,and all Acts amendatory thereto. I further
certify that only kitchen,bath,and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a
Certi scale ofOccup,.,cy has been issued by the DÔA
rtment of CommunityI Services,Car ,Indiana.
' E IY Jam( /���� '• ± mel
"` � INSPECTIONS NEEDED:
Signature of Owner or Authorized Agent 'I n e 2: 6 A 'I ootin nder Slab Rough-I Meter Base
i n rn-1 2ffltonor ci, i6s.22co For Pi ' k-.gyp C/O ,[ (�
(Print) (Phone Number) _ Sq.Ft. ✓ 1
Filing Fees: 3C q
•E-Mail re ner c.erfex hurn.e5-;m Inspection Fees: S�
Cert.of Occupancy: (cj a 1
—
Plan Commission/Bzzocet
#'s; TAC Date(s) P.R.I.F.: ft a 1
✓ed/Approved: Dept. of Community Services Fee ceived by S:Pertnits/Forms/ILP2-02
Lot# t Street address / c7R/93 c 41/ 6e-A-L1---
.
City: i (,E:'t..�/yt,L 1 Zip: County: r� i(t/ {,k%]4..
Interceptor Charges Paid: . - LOC -- EDU Fee
PLEASE NOTE: Installation of building sewer shall be per the specifications of the Clay Township
Regional Waste District(see reverse)and any conditions noted below. All installations shall be inspected by
District personnel during"open trench" phase and before backfilling with sand or stone to six inches above the pipe.
NO footing or foundation drains, or other sources of ground or stormwater, shall be permitted to enter the District's
sanitary sewer system.The District will assume no liability for drains which are below the grade level of the
nearest downstream manhole nor for laterals which are extended beneath driveways or sidewalks. The
permit holder(property owner, developer or builder)will be responsible for damages to the District's sewer system.
This includes damages to manholes, castings, manhole lids and the like; caused by construction activity on the
building site which is the subject of this permit.
Inspections by the District are MANDATORY and shall be arranged by contacting the District's office at 844-9200
24 hours in advance.All new construction will be placed on billing six months after connection has been made or
when water is connected, whichever comes first.
�.District will inspect all sump pump connections 30 to 60 days after the lateral inspection has been
�''ecVnpleted.
I have received a copy of Ordinance No. 9-13-99 and agree to follow all District standards. Building
a [ ] crawl space [ ] slab or[ ] basement that[ ]will be finished, [ ]rough-in plumbing with grinder
pump installed during construction, [ ] rough-in plumbing only and grinder pump will not be installed
during construction,,}no plumbing in the basement. (Please check appropriate box.) Builder will notify the
District office when the grinder pump installation is completed.
Conditional Permit Terms:
NO CONNECTION to the sewer until further notification.
•[ ] Certificate of Insurance must be on file with CTRWD listed as certificate holder.
[ ] 48 hours notice before work starts on manhole core drilling or cuts of active lines
and District inspector must inspect all work before covered.
[ ] All District fees will be paid in full.
[ ] Approval pending Districts review of plans.
[ ] Copies of approved permits from appropriate county or city agencies for work in
the right-of-way road cuts or are required.
[ ] No occupancy until further notification
[ ]
All Conditions have been met and final permit issued 20 .
By signing below, I attest that I am familiar with the District's specifications and agree to accept responsibility for all
work done under this permit.
Q.111.11.
q—iicj
B /Ow9er'Si Phone
'Printed Name
Inspection Fee Paid: $75.00 /2 site plans submitted �`No�p,NA•y, �r
Permit issued this /6 day of t� 2001. r 0y�,
Permit is valid for only ONE-YEAR from the date issued. :At:
�-
y
CTRwp
W.0;11*--%-layy, Utility Manager 413)
1%10_AL`141
Permit-rev.01-0 1/cjf Permit valid only with CTRWD seal in red ink.
CLAY TOWNSHIP REGIONAL WASTE DISTRICT
SUMMARY OF LATERAL INSTALLATION REQUIREMENTS
1. All houses,buildings,etc.,shall connect to the District's sanitary sewer system within 90 days of notice
providing a sewer is within 300 feet for Hamilton County or 100 feet for Boone County of the property line.
Only one building may connect to the sewer main per lateral unless otherwise approved by the District.
2. No foundation or other storm water drains shall be interconnected to the sewer lateral installed and connected
to the District's sanitary sewer.
3. The existing sewer line from the building to the septic tank may only be used if it is located under a building
addition,patio,porch or paved driveway. Air test is required to show if acceptable for re-use. The property
owner shall bear the cost of all testing. The District inspector must be onsite for the duration of the air test.
4. The owner or contractor shall notify the District prior to covering the installed lateral so that the District can
make an inspection to determine compliance with the District's sewer use ordinance. Such notification shall
be made 24 hours prior to the need for the inspection. If the inspection fails and a second inspection is
required,or contractor is not on site le'scheduled inspection,or fails to cancel inspection,an add tional fee of
$75.00 will be due.This must be paid prior to the ti::ra;of the follow up inspectiul.
5. Property owners are hereby advised that the County Board of Health regulates the operation and
maintenance of private sewage disposal(septic)systems. The County Ordinance provides in part that,upon
connection to a public sewer,a septic tank"...shall be abandoned and filled with earthen material in a safe
and sanitary manner." Please contact the appropriate County Board of Health for further information.
6. Acceptable Pipe Materiels:
PVC PIPE: SDR 35,ASTM D-3034,SIX INCH P IPE
PVC PIPE: SDR 21,A.STfvt D-241,SIX INCH PIPE
GASKETS JOINTS ASTM D 3212
GASKETS ASTM F-477
FITTINGS-SDR-26
DUCTILE IRON MECHANICAL COUPLING WITH PROPER FITTINGS.
CLEAN OUTS TO BE LOCATED THREE FEET WITHIN THE
FOUNDATION AND NO MORE THAN 300 FEET APART.
7. Bedding:
Use fill sand or Number 8,9 or 11 stone
Fill material is to be placed from 6 inches below to 6 inches above the
pipe
The trench should be a minimum of 18 inches wide
8. Laterals shall be installed no closer than 20 feet from water wells unless PVC pressure grade pipe is used
meeting SDR 21 and ASTM D-2241. Any proposed installation requiring pressre pipe shall be reviewed and
accepted by the District and the District's engineer prior to installation.
9. Where a transition is mr::!e between SDR 35 pipe and pressure grade SDR 21 pipe,a ductile iron gasketed
mechanical coupling shall be used.
10 ..Laterals shall terminate within 3 feet of the building unless the conditions in item#3 above are met_No glued
pipe shall be installed outsidgof building foundation walls.
11. Additional information on District standards and specifications may be obtained from the District's office during
business hours of 8:00a.rn.to 5:00p.m.Monday through Friday:All District standards can be located on our
CLAY TOWNSHIP REGIONAL WASTE DISTRICT
SANITARY SEWER PERMIT
kleConditional Permit [ ] Final Permit
INDIVIDUAL LOTS/EXISTING BUILDINGS
Project Title: abd-
Location: f `f� Age - I
WATER& SEWER PERMIT/RECEIPT RECEIPT No: SO370.02
CITY OF CARMEL Permit No.: 2002.0370.SW
Permit Issue Date: Oct 16,2002
Issue Date: Oct 16,2002
Received from: CENTEX HOMES
The SUM of : One Thousand Three Hundred Ten
On Account of: Lot: 16 Subdivision: HAYDEN RUN
Street address: 12995 TUSCANY BLVD
APPLICATION IS HEREBY MADE FOR PERMISSION TO CONNECT THE
BUILDING AT ADDRESS LISTED ABOVE:
Sewer Notes
E Water Connection #609 $1,310.00
Excavator: ALTERNATIVE TRENCHING
Water Availability #610
PO Box:
Street Address: 210 E SUMNER AVE Sewer Inspection #651 $0.00
City,State,Zip: INDIANAPOLIS,IN 46227 Sewer Connection #659 $0.00
Bond Expir : Jul 09,2003 Sewer Availability #660
Total $ $1,310.00
l Total Paid $ $ 1,310.00
uthorized Signature Receip s ed By: SNL Payment Type: Check # 74277
The building sewer shall be pvc sewer pipe meeting ASTM specifications 3034 SDR 35 of latest revision; or vitrified
clay pipe, meeting ASTM specifications C-700 for extra strength clay pipe of latest revision unless other materials are
hereby permitted in writing. The sewer shall be installed in accordance with ASTM 2321 for pvc pipe and the Uniform
Plumbing Code for the State of Indiana. All installations shall be in strict compliance with pertinent City of Carmel
ordinances. Back water check valves shall be installed in accordance with City Code Section 9-122(a), and sections
P3008.1 and .2 of the International Residential Code. All building sewers shall be 6"diameter.
All installations shall be"open trench" inspected and approved by the Carmel Sewer Department before any backfilling
is done. Non-compliance may result in digging up the sewer installation and/or denial of future sewer permits and/or
denial of water connections.
No footing or foundation drains or other sources of ground water or storm water shall be permitted to enter the public
sewer.
Sewer inspections should be requested at(317)571-2648 one to four hours in advance.
No inspections or installations will be made on Saturday or Sunday or holidays unless arrangements are made at least
24 hours in advance. All plumbers or contractors installing sewer(or water) lines shall have a plumbers bond posted
with the CITY ENGINEER'S OFFICE. If any street must be cut, a separate street cut permit shall be obtained.
I have read the conditions to which I must adhere,and agree to accept the responsibility for all work done under this permit.
Signe .
Approved by State Board of Accounts for City of Carmel, 2001